Individual provider Active NPI

Gordon G Wong, OD

  • Corneal and Contact Management Optometrist
  • La Jolla, CA
National Provider Identifier
1447338447
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
9832T Issued in CA
Practice address
7841 Fay Ave
La Jolla, CA 92037-4251
Phone
(858) 454-4699
Fax
(858) 454-3797
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 9832T CA Primary

Addresses

Primary practice location

7841 Fay Ave
La Jolla, CA 92037-4251

Mailing address

7841 Fay Ave
La Jolla, CA 92037-4251
Phone (858) 454-4699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040329001867 CA Practitioner - Optometry 3870485105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 1991
Medicare assignment
May accept Medicare assignment
Group practices
GW Eye Associates IncGroup PAC ID 2062304397, 4 clinicians

Practice addresses (Care Compare)

7841 Fay Ave
La Jolla, CA 92037-4251
Phone (858) 454-4699

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9832TCAMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wink Optometry del Mar Inc CurrentSince Sep 1, 2016 Accepting new patients
GW Eye Associates Inc CurrentSince Jun 1, 1995 Accepting new patients
Mihir Parikh, M.D. Inc Past Accepting new patients

Locations

2673 Via de la Valle
Ste F
Del Mar, CA 92014
Phone (858) 454-4699

7841 Fay Ave
La Jolla, CA 92037
Phone (858) 454-4699

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1447338447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7841 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374251",
            "telephone_number": "858-454-4699",
            "fax_number": "858-454-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7841 FAY AVE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920374251",
            "telephone_number": "858-454-4699",
            "fax_number": "858-454-3797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG",
        "first_name": "GORDON",
        "middle_name": "G",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "9832T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.